Provider First Line Business Practice Location Address:
BATES COLLEGE
Provider Second Line Business Practice Location Address:
130 CENTRAL AVE., ALUMNI GYMNASIUM
Provider Business Practice Location Address City Name:
LEWISTON
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-786-6359
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2006